• 한국산학기술학회논문지
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• 제18권1호
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• pp.523-529
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• 2017

본 연구는 종합병원으로 운영되고 있는 지방공사의료원들과 민간 비영리법인 종합병원들 간의 자본과 인력의 활용도와 경영성과를 비교하여, 지방의료원들이 재정자립을 위한 효율적이고 합리적인 생산성 제고방안을 모색하고자 하는데 목적이 있다. 분석자료는 2011년부터 2014년까지의 지방공사의료원과 민간 비영리법인 종합병원의 투자효율 산출을 위한 세부계정과목이 구분된 결산자료로, 투자효율 및 경영성과 지표는 총자본 투자효율, 생산활동에 투자된 유형고정자산 투자효율, 인건비 투자효율, 부가가치생산성, 사업수익 이익률을 비교 분석하였다. 분석 결과, 투자효율인 총자본 투자효율, 생산활동에 투자된 유형고정자산 투자효율, 인건비 투자효율은 민간 비영리법인 종합병원이 지방공사의료원보다 유의하게 높았는데 특히 생산활동에 투자된 유형고정자산 투자효율의 차이가 매우 컸다. 그리고 경영성과에서는 지방공사의료원이 민간 비영리법인 종합병원에 비해 사업수익 부가가치율은 높은 반면에 사업수익 이익률은 유의하게 낮았다. 또한 투자효율과 부가가치생산성이 사업수익 이익률에 미치는 영향을 살펴본 결과, 지방공사의료원은 생산활동 유형고정자산 투자효율과 인건비 투자효율, 민간 비영리법인 종합병원은 인건비 투자효율이 유의하게 영향을 미쳤으며, 인건비 투자효율의 영향이 가장 컸다. 따라서 지방공사의료원들이 자립경영을 위한 생산성 제고방안으로 수익발생과 관련된 자산의 활용도, 그리고 인건비와 관련하여 인력의 활용도와 적정성에 대한 검토의 필요성이 제기된다.

• 대한치과기공학회지
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• 제32권4호
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• pp.417-433
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• 2010

Purpose: This study evaluated the manpower planning of dental technicians. Methods: Methods : Survey was conducted regarding subject's general characteristics, characteristics of dental technician's occupational view and working conditions, and reason to enter into branches of the public health enter. The survey sample consisted of 323 dental technicians (221 male/ 102 female). Survey was conducted for one month from August 1 to September 1 in 2010. Following results were obtained. Results: 1. Regarding general characteristics of the subjects, there was a slight male predilection with 68.4%. Subjects in their 40s occupied the highest proportion of 32.2%. Majority of subjects worked in the big cities (71.5%). Favored working places were dental laboratory (57.6%) and dental hospital or dental clinic (19.5%). Although no position is available in the public sector such as public health center or health care civil servant, 9.3% preferred working in the public health center. Public sector is more favored than 2-year technical colleges or dental supply and equipment companies. In respect to education, 57% of the subjects graduated college. 67.8% were married. Subjects who specialize in the porcelain or all-ceramic were 57.9%. With regard to current position, head of the dental laboratory was most common. 2. Following occupation characteristics were found. Economic reason took the highest proportion when deciding their occupation (39.9%) followed by gaining social experience (36.5%). Majority of the subjects (76.5%) wanted to work as dental technicians until their retirement. 71.5% pursuit to become a manager of the dental laboratory. 76.1% agreed on opening a dental technician position in the public health center. Regarding an authority to lead developing the dental technician position in the public sector, majority of the subject chose ministry of health and welfare (35.6%) and Korean dental technologist association (34.7%). Employment (average, 30%) and turnover rate (average, 36.5%) of dental technology college graduates ranged from 40% to 60%. Most important factors for the employment were practical experience (41.2%) and competency (34.4%). With regard to job satisfaction, so-so as 46.7% and satisfactory was 42.7% 3. In respect to the reason for opening a position in the public health center, 'It is needed to continue denture rogram for elderly patients' obtained the highest score (4.14 point). 'Institutional devices are required to open a position for dental technicians as a public healthcare provider' received high score (4.11 point). 4. Concerning the working conditions, 'professional knowledge is required' received the highest score (4.23) followed by 'too short maternity and parental leave' (4.21). 5. Relationship between general characteristics of the subjects and favor of working in the public health center was investigated. Significant differences were found according to the current and favored working area, favored occupation, education level, marital status, and specialty. Working in the public health center was favored by following subjects: working in mid- or small-sized cities (4.16 point, p<0.05); PhD degree-holder (4.59 point, p<0.01). 6. Among general characteristics of the subjects, significant difference of working conditions was found in the following factors: gender; working areas; favored working areas; favored working positions, and education level. Majority of subjects favored working in big cities and currently work in big cities although satisfaction was comparatively low (3.75 score). 7. Future plan to work in public health center was evaluated according to occupational characteristics. Subject's intention to work in the public healthcare center was significantly affected by opening of dental technician position, leading authority, average turnover rate, and factors affecting employment. Working in the public health care center was favored by the following subjects: Dental technicians who actively supported opening of the dental technician position (4.34 point, p<0.001); subjects who thought the Korean dental technologist association is responsible for the opening of positions in the public sector (4.26 point, p<0.001); and subjects who thought that attitude and character are important for the employment (p<0.001). 8. Concerning difference of working conditions according to the occupational characteristics, significant difference was demonstrated by factors such as a reason to choose to be a dental technician, work plan, pursuing position, responsible authority, average employment rate, and job satisfaction. High standard of working conditions was required in subjects who selected to be a dental technician for the leisure time after work (s.05 point, p<0.01), who planted to work until their marriage (4.25 point, p<0.001), and who pursuit to be a manager (3.98, p<0.05). 9. In respect to influence of general characteristics on the advancement to public health centers, the coefficient of determination (R2) was 0.068 and age affected the working condition with significant difference according to the pvalue. 10. Regarding influence of general characteristics on the advancement to public health centers, the coefficient of determination (R2) was 0.335 and work plan, opening of dental technician position in the public sector, and responsible authority had significant influence over the subject's intention to work in the public health center according to the p-value. 11. With regard to the influence of general characteristics on the advancement to public health centers, the coefficient of determination (R2) was 0.091 and reason to choose to be a dental technician, work plan, and responsible authority significantly affected subject's working conditions. Conclusion: Korean society is becoming a super-aged society according to several statistics. As aged population is rapidly increasing, national health insurance plans to cover denture for senior citizen over 75 years old from 2012. Therefore, dental technicians are urgently needed in the public health centers all over the nation. Many subjects in this study planed to work until their retirement and recognized dental technician's expertise. Ministry of health and welfare and Korean dental technologist association should co-operate each other to prepare foundation and institutional devices for dental technicians to advance into the public health center. This will improve oral health of the population. This study showed urgency of medical facilities and services which meets increasing number of aged population and welfare of the population.

• Journal of Preventive Medicine and Public Health
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• 제49권2호
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• pp.139-140
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• 2016

• 한국보건간호학회지
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• 제32권2호
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• pp.167-180
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• 2018

Purpose: The aim of this study was to identify the life-sustaining treatment choices and related factors among general hospital nurses. Data were collected from June 16 to June 29, 2015. The participants were 244 nurses from five general hospitals in D city. Methods: The data were analyzed using the SPSS 18.0 program, descriptive statistics, paired t-test and one-way ANOVA. Results: Significant differences were observed in the level of life-sustaining treatment choices for nurses to themselves and to their families except for pain control. More nurses declined life-sustaining treatment choices, but suggested their families receive it. The related factors of special life-sustaining treatment choices for nurses themselves and their families according to their general characteristics were age, marital status, education and religion. Conclusion: This study suggests that the related factors need to be considered in the education of nurses' or public health providers' Life-sustaining treatment choices.

• 한국조경학회지
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• 제46권5호
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• pp.1-9
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• 2018

본 연구는 전문가와 일반인 집단 사이의 정원과 공원에 대한 인식 차이를 규명하기 위해 수행되었다. 설문을 통해 정원의 영역과 규모, 예술성과 과학성, 공공성, 실용성과 심미성, 조성 및 관리 주체, 주재료 등을 조사하였으며, 아울러 수목원정원법과 도시공원법에 대한 이해도를 규명하고자 하였다. 문헌연구를 통해 정원과 공원의 속성을 도출한 후 전문가와 일반인에게 각각 설문조사를 통해 정원과 공원의 개념, 유사성, 차이점 등을 각각 분석하였다. 정원 및 공원의 범위에 대해서는 전문가 그룹이 일반인 그룹에 비해 더 넓게 인식하고 있는 것으로 나타났다. 공통적으로 정원으로 인식한 공간은 옥상녹지이며, 도시숲은 공원으로 인식하고 있었다. 또한, 일반인 그룹은 도시숲을 정원으로도 인식하고 공원으로도 인식하여 구분이 명확하지 않았다. 전문가 그룹에서 정원은 소규모이고 공원은 대규모라는 인식이 더 우세했다. 대체로 정원은 개인공간이고 공원은 공공공간이라는 인식이 많게 나타났으며, 전문가 그룹에서 정원은 개인적이고 공원은 공공성이라는 인식이 더 우세했다. 일반인 집단은 전문가 집단에 비해 정원과 공원 모두 근소하게나마 예술적 창의성보다 기능적 과학성이 더 강조된 것으로 나타났다. 또한, 일반인과 전문가 모두에게서 대체로 정원보다는 공원이 예술성과 과학성을 아우르는 복합성을 띠고 있다고 인식하고 있는 것으로 나타났다. 정원은 식물재료가 중심이 되며, 공원은 조형물 시설물이 중심이 되거나 식물재료와 조형물 시설물이 적절히 균형을 이루는 공간으로 인식하고 있었고, 전문가 집단에 비해 일반인 집단에서 정원은 식물재료 중심이며, 공원은 시설물/조형물 중심이라는 시각이 매우 높게 나타났다. 전문가 집단은 정원의 심미성을 더 강조하고 공원에 대해서는 실용성을 더 인식하고 있었으며, 일반인 집단은 정원과 공원의 실용성과 심미성에 대한 인식이 유사하게 나타났다. 또한, 일반인 집단에서 정원의 실용성이 공원의 심미성이 더 강조되어 상대적으로 공원에 대한 심미성을 더 인식하고 있는 것으로 나타났다. 조성 주체에 대해 정원은 민간부문으로, 공원은 공공부문으로 인식하고 있었으며, 그 차이는 전문가집단에서 더 크게 나타났다. 관리주체에 대해 전문가와 일반인 모두 공원이나 정원의 관리는 조성 주체가 수행해야 하는 것으로 인식하고 있어, 관리주체의 다양화에 대한 논의가 필요한 것으로 나타났다. 이와 같이 전문가 그룹과 일반인 그룹에서 정원과 공원 개념의 혼재와 더불어 일정한 인식의 차이가 있음을 알 수 있었고, 법적 제도와 인식에서도 아직은 큰 차이가 있는 것으로 나타났다.

• Clinical and Experimental Pediatrics
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• 제45권9호
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• pp.1065-1074
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• 2002

목 적 : 영아 돌연사에 있어서 그 역학적 특성을 알아보고 사인을 밝히는데 병력에 대한 자세한 검토, 사망 당시 상황에 대한 조사, 그리고 부검 및 대사 이상 검사 등 사후 검사의 중요성에 대하여 알아보고자 하였다. 방 법 : 1987년 2월부터 2001년 12월까지 14년 8개월간 갑작스런 사망으로 응급실을 방문한 1세 미만의 영아 34례를 대상으로 하여 이들의 임상기록을 후향적으로 조사하여 이들의 역학적 특성을 조사하였다. 과거 병력에 대한 검토, 사망 당시 상황에 대한 조사 및 부검을 실시한 13례의 기록과 2000년 이후 시행한 혈액, 소변, 담즙 및 간조직에서의 사후 아실카르니틴 및 유기산 분석 검사를 통하여 사망의 원인을 분석하였다. 결 과 : 1) 성별 및 연령별 분포 : 총 34례 중 남아 18명(52.9%), 여아 16명(47.1%)으로 남아에서 많이 발생하였고 연령별 분포는 생후 6개월 이하가 31례 (88.2%)로 가장 많은 분포를 차지하였다. 2) 사망시각은 오전 6-12시에 18례(52.9%)로 가장 많은 분포를 보였다. 3) 계절적 분포는 겨울에 가장 많이 사망하였고 13례(38.2%)였다. 4) 사망 발견시 수면 자세를 알 수 있었던 15례 중 복와위가 9례, 앙와위는 6례였다. 5) 병력과 사망 당시 상황으로도 죽음의 원인을 설명할 수 없는 경우가 23례였고 이중 부검을 실시한 13례 중 특이한 병리 소견을 발견할 수 없어 SIDS로 진단을 내린 경우가 7례였고 6례는 부검을 통하여 사망의 원인을 밝힐 수 있었다. 부검을 통해 밝혀진 사인으로는 심내막 섬유 탄성증 1례, 췌도 세포증 1례, 간의 지방 변화로 지방산 대사 이상을 의심할 수 있었던 2례, 경막하 및 경막외 출혈 1례, 기관지폐렴이 1례였다. 선천성 대사 이상 질환은 부검상 총 3례에서 의심되었으나 당시에는 대사 이상 검사가 시행되지 못하였고 2000년부터 시행한 대사 이상 검사에서는 모두 정상 소견이었다. 결 론 : 자세한 병력과 사망 상황에 대한 조사와 함께 부검은 사망의 원인을 밝히고 영아 돌연사 증후군을 진단하는데 필수적이라고 할 수 있으며 앞으로 우리나라에서도 부검의 중요성을 인지하고 이를 적극적으로 시행하여야겠고 지방산 대사 이상을 포함하는 대사 이상 검사도 아울러 적극적으로 시행하여야 할 것이다.

• 유통과학연구
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• 제14권10호
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• pp.59-72
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• 2016

Purpose - This study expands the corporate social responsibility (CSR) model and concepts by adding to it the concepts of corporate identity and public existence responsibility. Then, this study examines the structural relationship between corporate identity and public existence responsibility. This study contributes to expanding CSR to give customers a different perspective from previous studies in that it specifically measures corporate public existence responsibility, corporate identity, and corporate value creation and investigates the structural relationship. Research design, data, and methodology - This study addresses specific research questions. First, it asks whether non-financial performance is a component of CSR; second, it asks if the improvement in the corporate image should be treated as its corporate identity; and third, it tries to expand CSR concepts from corporate citizenship and public market awareness to public existence responsibility. The research hypothesis is formulated to confirm the relationships among CSR, corporate value creation, corporate identity, and public existence responsibility. Result - This study confirms that CSR has a positive correlation with corporate value creation and that CSR has a relatively positive correlation with corporate identity and public existence responsibility. Additionally, it confirms a positive correlation between corporate identity and public existence responsibility. However, corporate identity and public existence responsibility do not have an effect on corporate value creation. However, the influence of public existence responsibility confirmed the influence of corporate value creation through corporate identity as a mediating variable. Conclusion - This study argues that CSR produces more general performance including both financial and non-financial performance. It also confirms that the goals and performance of CSR can substitute for corporate value creation from general performance. It further confirms that public existence responsibility includes market public awareness, corporate images, and corporate associations. It suggests that corporations should see themselves as having public existence responsibility. Further, they should devise strategies to build corporate identities that associate with corporate goals and visions. Finally, this study contributes to the expansion of perspectives on CSR theoretical concepts and goals of performance of the corporation throughout the corporate value creation process.

• Asian Pacific Journal of Cancer Prevention
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• 제15권19호
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• pp.8503-8508
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• 2014

Background: After the WHO recommended HPV vaccination of the general population in 2009, government support of HPV vaccination programs was increased in many countries. However, this policy was not implemented in Korea due to perceived low cost-effectiveness. Thus, the aim of this study was to analyze the cost-utility of HPV vaccination programs targeted to high risk populations as compared to vaccination programs for the general population. Materials and Methods: Each study population was set to 100,000 people in a simulation study to determine the incremental cost-utility ratio (ICUR), then standard prevalence rates, cost, vaccination rates, vaccine efficacy, and the Quality-Adjusted Life-Years (QALYs) were applied to the analysis. In addition, sensitivity analysis was performed by assuming discounted vaccination cost. Results: In the socially vulnerable population, QALYs gained through HPV vaccination were higher than that of the general population (General population: 1,019, Socially vulnerable population: 5,582). The results of ICUR showed that the cost of HPV vaccination was higher for the general population than the socially vulnerable population. (General population: 52,279,255 KRW, Socially vulnerable population: 9,547,347 KRW). Compared with 24 million KRW/QALYs as the social threshold, vaccination of the general population was not cost-effective. In contrast, vaccination of the socially vulnerable population was strongly cost-effective. Conclusions: The results suggest the importance and necessity of government support of HPV vaccination programs targeted to socially vulnerable populations because a targeted approach is much more cost-effective. The implementation of government support for such vaccination programs is a critical strategy for decreasing the burden of HPV infection in Korea.

• 한국컴퓨터정보학회논문지
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• 제23권10호
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• pp.165-172
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• 2018

This study was conducted to investigate the relationship between life satisfaction of the elderly and their transfer income (public transfer and private transfer income) using the 11th data of the Korea welfare panel study. In the analysis results, the public transfer income was analyzed to have a significantly positive (+) effect on the life satisfaction in the case of the elderly in general households while in the case of the elderly in low income households, private transfer income was analyzed to have a significantly positive (+) effect on life satisfaction. These results suggest that the public transfer income is 1,019,200 won (monthly average 849,000 won) in the case of the elderly in general households, and the public transfer income is found to have an effect to stabilize the income, which can be expected to increase the life satisfaction. However, in the case of the elderly in low income households, it was found to be 5,080,500 won (monthly average 424,000 won), half of the public transfer income of the elderly in general households. In the case of the elderly of low income households, it can be assumed that the private transfer income, which is the "uncomfortable" income source, fills up the unstable income stabilization gap and raises the life satisfaction. As a policy suggestion, first, by supplementing the basic pension system, which is an irrational part of public transfer income for the elderly with low income, it is necessary to design policy alternatives to enable economic stabilization of the elderly in low income households. Second, it is also necessary to actively review the introduction of income deduction plans for the transfer income of family members for the low income elderly households.

• Journal of Preventive Medicine and Public Health
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• 제47권1호
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• pp.7-17
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• 2014

Risk assessment considers the situations and characteristics of the exposure environment and host. Various physiological variables of the human body reflects the characteristics of the population that can directly influence risk exposure. Therefore, identification of exposure factors based on the Korean population is required for appropriate risk assessment. It is expected that a handbook about general exposure factors will be used by professionals in many fields as well as the risk assessors of the health department. The process of developing the exposure factors handbook for the Korean population will be introduced in this article, with a specific focus on the general exposure factors including life expectancy, body weight, surface area, inhalation rates, amount of water intake, and soil ingestion targeting the Korean population. The researchers used national databases including the Life Table and the 2005 Time Use Survey from the National Statistical Office. The anthropometric study of size in Korea used the resources provided by the Korean Agency for Technology and Standards. In addition, direct measurement and questionnaire surveys of representative samples were performed to calculate the inhalation rate, drinking water intake, and soil ingestion.